Raluca Ioana Dulamă

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HIV infected patients receiving antiretroviral therapy (ART) can develop avascular osteonecrosis, 45 times greater than the general population. Avascular osteonecrosis increased in the last few years in patients with HIV infection. The most important mechanisms for avascular osteonecrosis in HIV-infected patients are: changes in bone metabolism, especially(More)
Tuberculosis reactivation during novel, biologic therapy Cristina Popescu, Violeta Molagic, Cătălin Tilişcan, Ruxandra Moroti, Adriana Hristea, Mihaela Rădulescu, Raluca Mihăilescu, Daniela Munteanu, Iulia Niculescu, Raluca Năstase, Raluca Dulama, Alina Lobodan, Raluca Hrişcă, Raluca Jipa, Anca-Ruxandra Negru, Irina Lăpădat, Roxana Petre, Mircea Chiotan,(More)
Background Q fever is a disease with worldwide distribution. The real number of patients with this disease is underestimated due to its nonspecific symptoms and because of the difficulties associated with serological diagnosis. Some of the patients diagnosed in the first stage with Q fever later develop chronic disease. Endocarditis is the most frequent and(More)
Tuberculosis (TB)/HIV co-infection represents a major problem in many regions of the world, including Romania. TB is a leading cause of death among people infected with HIV and HIV infection is the most important risk factor for progression from latent to active TB. TB can occur at any stage of HIV disease and its manifestations depend on the severity of(More)
Background Q fever is a zoonosis with reported outbreaks in rural areas, related to farms and farm animals. In the urban area, the source of infection is almost always unknown and can be related to windborne spread of Coxiella burnetii. Objective: To emphasize the importance of Coxiella burnetii etiology in prolonged febrile syndrome. We want to point out(More)
Evaluation of adipose tissue changes with bioimpedance and dual-energy X-ray absorptiometry in treatment of multi-experienced HIV-infected patients Raluca Mihăilescu, Daniela Ioana Munteanu, Mihai Lazăr, Cătălin Tilişcan, Laura Papagheorghe, Raluca Dulama, Loredana Benea, Mihaela Rădulescu, Ana Maria Tudor, Adrian Streinu-Cercel, Adriana Hristea, Anca(More)
HIV infected patients are more likely to develop nonHodgkin lymphoma (NHL). Burkitt lymphoma (BL) is a highly aggressive NHL, associated with immunosuppression, especially with HIV. According to WHO classification there are three clinical types of BL: endemic, sporadic and immunosuppression-associated. Sporadic lymphoma was described especially in children(More)
HIV infected pregnant women monitored in the Adults 3 Department of the National Institute for Infectious Diseases “Prof. Dr. Matei Balş” – risk of mother to child transmission Cristina Popescu, Mariana Mărdarescu, Raluca Dulama, Raluca Mihăilescu, Daniela Munteanu, Ruxandra Moroti, Violeta Molagic, Adriana Hristea, Mihaela Rădulescu, Cătălin Tilişcan,(More)
Background Although during the past years a constant decreasing trend of extrapulmonary tuberculosis (TB) was registered in Romania, the number of reported cases of pericardial effusion TB remained steady at 40-50 cases annually, most of them in association with pleural effusion. Pericardial TB is a potentially lethal complication of TB and it is associated(More)
One of the most important factors in achieving a good outcome is treatment adherence. Poor adherence to antiretroviral therapy (ART) leads to less viral suppression, permanent treatment resistance and increased costs. There are multiple causes of poor adherence: regimen complexity, side effects etc. Aim: to analyze ART adherence, risk factors for poor(More)